Active NPI
Matthew Paul Clemons, MD
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R8546
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (214) 820-2361
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | R8546 | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111
Other practice location 1
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424673801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Mississippi School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
921 Gessner Rd
Houston, TX 77024-2501
Phone (405) 286-4114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8546 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Partners, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients |
Locations
4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
3500 Gaston Ave
Dallas, TX 75246
3410 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 370-1000
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
921 Gessner Rd
Fl 1
Houston, TX 77024
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
3705 W 15th St
Plano, TX 75075
Phone (972) 867-3577
6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/wilbar-961d262b
- https://fhir-usa.unify.chbase.com/org/limemed-6f800dfa
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Webster, TX
- NPI 1821265265
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003343492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-2361"
}
],
"practiceLocations": [
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75235",
"country_code": "US",
"telephone_number": "214-456-2735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEMONS",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "R8546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424673801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.